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INDONESIA
Berita Kedokteran Masyarakat
ISSN : 02151936     EISSN : 26148412     DOI : https://doi.org/10.22146/bkm.v37i2.2320
Core Subject : Health,
Berita Kedokteran Masyarakat (BKM Public Health and Community Medicine) is a peer-reviewed and open access journal that deals with the fields of public health and public medicine. The topics of the article will be grouped according to the main message of the author. This focus covers areas and scope related to aspects of: - Epidemiology - Infectious diseases control - Clinical Epidemiology - Environmental Health - Occupational Health - Healthy City - Public Health and Primary Health Care - School of Health Promotion - Healthy lifestyles - Health promotion - Health and Social Behavior - Tobacco and smoking - Adolescent Health - Public Health Nutrition - Maternal and Child Health - Reproductive Health - Population Health - Health of Vulnerable People - Social Determinants of Health - Water, Sanitation and Hygiene - Human Resource Management
Articles 1,528 Documents
Analisis Faktor – Faktor Yang Berhubungan Dengan Kepemilikan Jamban Pada Daerah Pesisir Kecamatan Koba Kabupaten Bangka Tengah Propinsi Kepulauan Bangka Belitung
Berita Kedokteran Masyarakat (BKM) Vol 35, No 7 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.46525

Abstract

Tujuan : Perilaku masyarakat daerah pesisir pantai yang kurang terbiasa buang air besar (BAB)  menggunakan jamban memiliki pengaruh terhadap kesehatan masyarakat secara keseluruhan apalagi pada penyakit yang berhubungan dengan kesehatan lingkungan. Masyarakat pada pesisir pantai sebagian besar merupakan masyarakat dengan pekerjaan sebagai nelayan memiliki karakteristik yang berbeda dengan masyarakat lain di sekitarnya. Permasalahan yang sering timbul di wilayah pesisir yakni rendahnya tingkat kesejahteraan masyarakat dan rendahnya kualitas lingkungan serta sanitasi sehingga berdampak pada kepemilikan jamban. Tujuan penelitian ini adalah untuk mengetahui hubungan antara variabel independen ( faktor predisposisi, faktor enabling dan faktor penguat) dengan variabel dependen (kepemilikan jamban sehat )  pada masyarakat desa pesisir  di  Kecamatan Koba Kabupaten Bangka Tengah.Metode : Penelitian yang dilaksanakan merupakan jenis penelitian survei analitik dengan pendekatan cross sectional study. Populasi dalam penelitian ini adalah seluruh keluarga yang bertempat tinggal di  Desa Kurau dan Desa Kurau Barat Kecamatan Koba Kabupaten Bangka Tengah. Besar sampel dalam penelitian ini berjumlah 200 responden.Hasil : Hasil penelitian ini pada analisis bivariat  menunjukkan bahwa variabel yang terdapat hubungan adalah variabel pendidikan responden terhadap jamban sehat dengan nilai signifikansi (pvalue = 0,02), pengetahuan dengan kepemilikan jamban sehat dengan nilai signifikansi (pvalue = 0,03), ketersediaan air responden terhadap jamban sehat dengan nilai signifikansi (pvalue = 0,011), dukungan perangkat desa dengan nilai signifikansi (pvalue =0,35), Sedangkan variabel yang tidak berhubungan adalah variabel jenis kelamin (pvalue=0,93) pekerjaan (pvalue = 3,50), kebijakan (pvalue = 0,65),paparan promosi kesehatan (pvalue =1,27),  sikap ( Pvalue = 0,1) dan dukungan kader kesehatan (pvalue = 0,073). Hasil analisis multivariat variabel yang paling dominan berhubungan dengan kepemilikan jamban adalah variabel dukungan kader kesehatan dengan pvalue 0,006 OR 3,542 ( 95 % CI 1,444 – 8,692 ). Responden di daerah pesisir menunjukkan bahwa ada dukungan kader kesehatan berpeluang 3,542 kali untuk meningkatkan kepemilikan jamban dibandingkan dengan tidak ada dukungan kader kesehatan.Kesimpulan : Kesimpulan dari penelitian ini adalah penguatan dan peningkatan pengetahuan responden dalam hal ini adalah masyarakat   desa kurau dan desa kurau barat akan berdampak positif pada respon masyarakat memiliki jamban.Penguatan peran kader kesehatan menjadi penting dalam memaksimalkan akses penggunaan jamban serta menginisiasi masyarakat dalam kepemilikan jamban.Kata kunci : Jamban,  Crossectional , Pesisir
Analisis faktor-faktor yang berhubungan dengan kepemilikan jamban pada daerah pesisir kecamatan Koba kabupaten Bangka Tengah provinsi kepulauan Bangka Belitung Ari Liendy Rachmawati; Ani Margawati; Budi Laksono
Berita Kedokteran Masyarakat (BKM) Vol 35, No 5 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (243.226 KB) | DOI: 10.22146/bkm.46624

Abstract

Cadre support and Latrine ownership for coastal residents  in Koba Bangka BelitungPurpose: The behavior of coastal communities who are less accustomed to defecation using latrines has an influence on public health as a whole, especially in diseases related to environmental health. Most of the coastal communities are people with jobs as fishermen who have different characteristics from other communities around them. Problems that often arise in coastal areas are the low level of community welfare and low quality of the environment and sanitation, which has an impact on the ownership of latrines. The purpose of this study was to examine variables associated with healthy latrine ownership in a coastal communities. Method: A survey of 200 families in the coastal villages of Kurau and Kurau Barat of Koba, Central Bangka District. Results: Level of education, knowledge, water availability, support of village administrators were associated with healthy latrine ownership. Families with support from voluntary health worker showed three and a half times more likely to have a toilet at home (OR 3.54, 95% CI 1.44 - 8.69). Conclusion: This study suggests villagers' knowledge of hygiene and sanitation conveyed from the voluntary health workers have a positive impact on the community's response to latrines. Scaling up the voluntary primary health care workers role is important in introducing latrine to villagers.
Gangguan tidur dan risiko obesitas sentral pada laki-laki dewasa di Indonesia: suatu kajian analisis data Indonesian family life survey 5 Listhia Hardiati Rahman; Lientje Setyawati Maurits; Susetyowati Susetyowati
Berita Kedokteran Masyarakat (BKM) Vol 35, No 6 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (550.26 KB) | DOI: 10.22146/bkm.46797

Abstract

Sleep disturbances and risk of central obesity for male adults in Indonesia (analysis data Indonesian Family Life Survey/IFLS 5)Purpose: This study aimed to analyze the role of sleep disturbances for central obesity in Indonesia.Methods: This type of research is observational with a cross-sectional design. The study used secondary data from the Indonesia Family Life Survey (IFLS) 5 in 2014-2015. Bivariate, multivariate logistic regression, and chi-square were used for statistical analysis. Results: At the end of the study, the results showed no association between sleep disturbances and the risk of central obesity (p=0.54). The significant relationship of central obesity was found in physical activity and smoking habits, but not significant in the consumption of fast food.Conclusions: Sleep disturbance does not have a significant relationship with the risk of central obesity. Although not showing a significant relationship, have a good sleep quality may protect against obesity risk.
EVALUATION OF LEPTOSPIROSIS CONTROL MANAGEMENT BASED ON ONE HEALTH IN BOYOLALI DISTRICT Vivin Fitriana; Riris Andono Ahmad; Hanevi Djasri
Berita Kedokteran Masyarakat (BKM) Vol 35, No 8 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (98.708 KB) | DOI: 10.22146/bkm.46839

Abstract

Evaluation of leptospirosis control management based on one health in Boyolali DistrictPurpose: The study aims to evaluate the control of leptospirosis in Boyolali Regency. Method: This study was a descriptive observational. Samples were conducted with purposive sampling techniques for Boyolali District Health Office, Boyolali District Animal Husbandry Office, Boyolali District Agricultural Service, and 9 health centers with findings of leptospirosis cases in 2017-2018. Variables that evaluated included inputs, planning, implementation, output. Data were collected through Observational and interviews. Results: Seventy percent of health workers have received training. Rapid diagnosis tests (RDTs) are not available at the primary health care but available in the Health Office. Data collection is reported passively. Examination of leptospirosis cases in livestock if there are findings in humans. However, the main reservoir (rat) was not inspected by the Agriculture Office. Every case that found was reported to the Boyolali District Health Office and received treatment.Conclusion: Leptospirosis control in Boyolali Regency has not successful. It was depicted by cases of death a year after the adoption of the one health concept. Improving both quality of human resources on a regular basis and increasing collaboration between various sectors such as community leaders, religious leaders, the Livestock Service Office, the Agriculture Service, and other relevant agencies were needed.
Faktor Risiko Persalinan Tanpa Pertolongan Tenaga Kesehatan di Kabupaten Banjarnegara Tahun 2018 Abdullah Abdullah; Eugenius Phyowai Ganap
Berita Kedokteran Masyarakat (BKM) Vol 35, No 10 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (116.061 KB) | DOI: 10.22146/bkm.46889

Abstract

The risk factors of medically unassisted baby delivery in Banjarnegara DistrictPurpose: This study aims to identify risk factors of medically unassisted baby delivery in Banjarnegara Regency. Method: Mix method research design (case-control completed with in-depth interview). The sample size was 112 with a ratio of 1: 1 (56 cases and 56 controls), taken by simple random sampling based on secondary data PWS-KIA Banjarnegara District Health Office in 2018 including a qualitative sample of 5 people taken purposively. Data collection was carried out by means of interviews using questionnaires and interview guides. Analysis of bivariable data with McNemar test and multivariable with multiple logistic regression using the STATA 13.1 program. Results: Thirty-four (60.7%) respondents who gave birth without the help of health workers had a low educational level. The result of multivariable analysis showed a significant relationship between maternal education (aOR = 4.06; 95% CI = 1.32-12.45), history of ANC (aOR = 4.26; 95% CI = 1.24-14.64 ) and family support (aOR = 7.16; 95% CI = 1.73-29.51). Qualitative results show that prior delivery experience was the reason why women chose to give birth at home without the help of health workers. Conclusion: Childbirth without the help of health workers in Banjarnegara District was influenced by maternal education, ANC history, and family support. It is expected that families can be involved in providing Information and Education Communication (IEC) during ANC visits of pregnant women to increase awareness and knowledge related to safe pregnancy and childbirth.
Pengaruh Aplikasi "Remaja Cerdik Mobile" Terhadap Pengetahuan, Sikap dan Efikasi Diri Remaja Tentang Pencegahan Prediabetes Dwi Rizky Novianto; Antono Suryoputro; Bagoes Widjanarko
Berita Kedokteran Masyarakat (BKM) Vol 35, No 8 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (478.389 KB) | DOI: 10.22146/bkm.46954

Abstract

The influence of the application of "Clever Teen Mobile" on the knowledge, attitudes and self-efficacy of adolescents about the prevention of prediabetesPurpose: The current lifestyle of adolescents is believed to be the most dominant factor in the increasing incidence of prediabetes. This situation is at high risk of developing Diabetes Mellitus if no lifestyle changes are made. Raising health promotion by utilizing technological sophistication in the form of an android-based application can be a media for health promotion for teenagers. This study aims to determine the effect of android-based applications "Remaja Cerdik Mobile" on adolescent knowledge, attitudes and self-efficacy about prevention of Prediabetes. Method: This study uses a quasi-experimental method with a non equivalent control group design with pretest-posttest design. The number of respondents is 100 high school students in the city of Semarang. Data analysis used the One Way repeated measures ANOVA test.Results: The results of the development of application media obtained material about the knowledge and prevention of prediabetes which includes articles, images, quizzes, videos and tracker updates. Quantitative research shows that there is the influence of android-based applications "Remaja Cerdik Mobile" in increasing adolescents' knowledge, attitude and self-efficacy about prevention of prediabetes. Conclusion: This android-based applications "Remaja Cerdik Mobile" can be an alternative in the use of health promotion media as a means of educational information communication for adolescents in prediabetes prevention.
Sistem pengelolaan sampah padat di ruang IGD RSUP Fatmawati Jakarta tahun 2018 Delika Putri; Thresya Febrianti
Berita Kedokteran Masyarakat (BKM) Vol 35, No 7 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (304.632 KB) | DOI: 10.22146/bkm.47042

Abstract

Solid waste management system in the IGD room of Fatmawati Hospital, Jakarta in 2018Purpose: The purpose of the study was to see an overview of the medical solid waste management system in the Emergency Room of Fatmawati Hospital. This research is a qualitative descriptive study.Method: Data collection is done by in-depth interviews, observation and document review. The informants in this study were consisting of the Head of the Sanitation Installation Sub Department Fatmawati Hospital seven people, Solid Waste Management Staff, Cleaning Services, Nurses, and Second Parties (Vendors). This research was conducted in October-November 2018 at Fatmawati General Hospital. The variables examined from the input to the output of the solid waste management process.Results: The results of the study showed that the management of solid waste from facilities and was running normally.Conclusion: The amount of solid waste is 4 tons/day. The waste management in accordance with Minister of Health Regulation No.1204/MENKES/SK/X2004 except in the selection and transportation of medical waste.
Efektivitas Pendidikan Kesehatan Media Video Terhadap Pengetahuan dan Sikap Tentang Anemia pada Remaja Putri Rista Yunanda; Lani Gumilang; Neneng Martini; Fardila Elba; Ari Indra Susanti
Berita Kedokteran Masyarakat (BKM) Vol 35, No 9 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (70.723 KB) | DOI: 10.22146/bkm.47074

Abstract

Background: Anemia in adolescent girls reduces motoric development, mentality, and intelligence and affects adolescent girl health in the future. Lack of hemoglobin may cause some complications in pregnancy and childbirth. Thereby, health education is needed to prevent anemia. Retention of information through video is 30%. Purpose: This study investigates the effectiveness of health education using video in improving knowledge and attitude regarding anemia among adolescent girls. Method:  This study used quasi-experimental with one group pretest-posttest design. Fifty-three adolescent girls studying at SMAN 1 Tasikmalaya were recruited in this study as selected through Proportionate Stratified Random Sampling. Data analysis used the Wilcoxon Signed Rank Test for knowledge data and the Paired Sample T-Test for attitude data. Pearson's Correlation Coefficient R Formula calculated the effect size. Results:  The results showed improved knowledge and attitude scores after giving health education using video (p-value, < 0.05 ). The effect size of the knowledge variable was 0.87, and the attitude variable was 0.74. Conclusion:  health education using video has a large effect in improving knowledge and attitude regarding anemia among adolescent girls.Keywords: Anemia, Attitude, Adolescent Girls, Health Education, Knowledge
PENYAKIT ZOONOSIS DENGAN PERHATIAN KHUSUS PADA SCHISTOSOMIASIS JAPONICUM : SEBUAH TINJAUAN Raflizar Raflizar; Mohammad Sudomo
Berita Kedokteran Masyarakat (BKM) Vol 35, No 7 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (767.79 KB) | DOI: 10.22146/bkm.47132

Abstract

Zoonotic disease with special attention to Schistosomiasis japonicum: an overview Schistosomiasis is a zoonotic parasitic disease with a very complex transmission cycle. Its transmission concerns freshwater snails and 40 species of mammals that act as reservoir hosts. Research and treatment of schistosomiasis in animals, both domestic and wild animals is still very little. There are three species of Schistosoma which are zoonotic diseases of S. mansoni, S japonicum and S mekongi. Schistosoma is found in China, Japan, the Philippines, Indonesia, Africa, the Middle East, South America, the Caribbean islands and countries along the Mekong River. In China the contribution of humans to the transmission of schistosomiasis has been greatly reduced after several decades of elimination of schistosomiasis. In Indonesia, schistosomiasis is only found in the Lindu plateau in Sigi, Napu and Bada districts in Poso District, Central Sulawesi. Schistosoma infects mammals, namely: cattle, buffalo, horses, dogs, pigs, ferrets, deer and various types of mice. Schistosomiasis eradication program in Central Sulawesi involving all sectors including the livestock sector. As long as there is an intermediate animal reservoir and snail, reinfection will occur continuously. Because of its complex zoonotic schistososmiasis transmission becomes a major barrier problem for the elimination of schistosomiasis. Community empowerment is very important, because without public awareness of parasitic diseases that threaten them, the parasitic disease eradication program will not work well.
Faktor Determinan Penolakan Imunisasi di Desa Bonjor Kabupaten Temanggung Tahun 2018 Faridatun Khasanah; Retna Siwi Padmawati
Berita Kedokteran Masyarakat (BKM) Vol 35, No 8 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (533.027 KB) | DOI: 10.22146/bkm.47134

Abstract

Determinant factors immunization refusal in Bonjor Village Temanggung DistrictPurpose: Temanggung district is one of two districts in Central Java that have refusal immunization. Highest refusal immunization in Temanggung district located in Bonjor Village. Based on this, researchers wanted to see determinants of refusal immunization in Bonjor Village. Method: Study design was sequential explanatory mixed method used 1: 1 paired case-control study, which was equipped with qualitative sequential explanatory. Research sample were parents who refused and did not refuse their children to be immunized who lived in Bonjor Village. Quantitative analysis using bivariate analysis and multivariate analysis, while qualitative analysis using data triangulation.Results: Sample collected was 114 heads of families. The results of study showed that 58% respondents had education level of junior high school, 57% working as farmers and the average age of 31.75 years with youngest age was 19 years and oldest was 48 years. The results of multivariate analysis showed that mother's belief in breastfeeding (OR=5.54; 95% CI=1.91-16.05), vaccine was not an option in increasing immunity (OR=20.32; 95% CI=3, 98-103.68), and the experience of mothers that after immunization her child became fussy (OR = 3.92; 95% CI=1.32-1156) had a relationship with the refusal immunization in Bonjor Village, Temanggung District in 2018. Belief and experience of mothers about immunization supporting occurrence of vaccines is not an option in increasing immunity.Conclusion: Increasing knowledge and restoring public belief are initial choices for increasing immunization coverage. Refusal immunization problem cannot be solved by one sector but requires cross-sector cooperation.

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